This study assessed whether motivational interviewing (MI), applied as part of a standard guided self-help (GSH) behavioral weight loss treatment, reduced attrition rate and improved participant weight loss and other eating-related and general psychological measures. The study also included assessments based on two theories of motivated behavior, to assess whether these measures predicted treatment outcome and whether MI increased participant motivation. Thirty-nine overweight patients (7 males, 32 females) were randomized to receive either 6 sessions of traditional GSH and 2 traditional motivation-focused sessions (GSH); or 6 GSH sessions and 2 sessions utilizing an MI
Sizeable numbers of youth in community and clinical settings meet diagnostic criteria for borderline personality disorder (BPD). Early assessment and treatment may positively alter the life‐course trajectory of young people with BPD and reduce future suffering and impairment. This article reviews the potential etiological bases of BPD, including genetic, neurobiological, social‐cognitive, and the biosocial theory. Prospective, retrospective, and correlational research including infant and child temperament, internalizing and externalizing psychopathology, as well as suicidal and nonsuicidal self‐injurious behaviors provide additional information to better understand potential risk factors for the development of BPD as well as points for intervention (e.g., emotion regulation). To date, dialectical behavior therapy and mentalization‐based treatment appear promising as effective treatments for adolescents who carry at least three borderline personality features in addition to self‐harm. Directions for future research are discussed.
Suicidal and non-suicidal self-injurious behaviors are pernicious and highly prevalent among youth worldwide. Studies confirm that engaging suicidal youth in outpatient treatment is a challenge for most therapists and that a substantial number of suicidal youth never follow through with treatment referrals received in emergency departments and eventually re-attempt suicide. The treatment engagement literature for suicidal youth has largely focused on identifying empirical correlates of attendance and testing interventions to increase compliance. In an effort to promote the use of theory in this field, this article employs Staudt's (2007) conceptual model of the treatment engagement process to both organize the empirical literature and to explain specific treatment engagement and retention strategies used in dialectical behavior therapy for suicidal adolescents. Recommendations for future research are offered.
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